<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title>Insert title here</title>
</head>
<body>
	<form method="post" action="BillPayment2">
		Bill Amount <input type="text" name="amt" /><br />
		Payment Mode<br />
		<input type="radio" name="mode" value="Card" />Credit/Debt Card<br />
		<input type="radio" name="mode" value="Netbanking" />NetBanking<br />
		Plan<br />
		<input type="checkbox" name="plan" value="10p" />10p Plan<br />
		<input type="checkbox" name="plan" value="30p" />30p Plan<br />
		<input type="checkbox" name="plan" value="std" />STD Plan<br />
		<input type="checkbox" name="plan" value="isd" />ISD Plan<br />
		
		<input type="submit" value="Submit">
		<input type="reset" value="Clear">
	</form>
</body>
</html>